ICD 10 CM S02.413A | Description & Clinical Information

ICD 10 S02.413A describes a specific type of fracture known as LeFort type III, which involves the complete separation of the maxilla, zygoma, and nasal skeleton from the skull, typically resulting from injury or trauma, and this code is used for an initial encounter with a patient who has a closed fracture.

Official Description Of S02.413A

The ICD 10 CM book defines ICD 10 code S02.413A as:

Clinical Information

The diagnosis describes by the ICD-10-CM code S02.413A pertains to a specific type of facial fracture called the LeFort III fracture. This type of fracture is considered severe and involves a break in the bone structures that make up the midface and skull. Patients who suffer from LeFort III fracture may experience disfigurement of the facial bones, a flattened look of the face, soft tissue swelling, bleeding or the formation of a blood clot, and discoloration of the skin due to bruising.

To diagnose this condition, healthcare providers take into consideration various factors such as the patient’s medical history, including the mechanism of injury, and a history of mental status changes like loss of consciousness during the time of the injury. Medical professionals also perform a physical examination of the maxilla and the facial bones with imaging techniques such as X-rays and computed tomography or CT scan.

Treatment options for LeFort III fractures depend on the severity of the injury. The immediate priority for treating the patient is to stabilize them and ensure that any associated problems, such as injury to the airway, cervical spine, chest, or abdomen are also addressed. The primary goal is to stop any excess bleeding and manage any life-threatening injuries.

Surgical intervention may also be necessary to repair the fracture. The provider may use a technique called LeFort osteotomy, a surgical procedure that involves cutting and repositioning the facial bones to align them properly. The provider may also perform a fracture repair and suturing to allow for proper healing of the affected area.

It is important to note that LeFort III fractures are serious injuries that require prompt and appropriate medical attention to prevent any long-term complications. The recovery period after a LeFort III fracture can differ widely among patients, depending on the severity of the injury and the effectiveness of the treatment provided. Patients may undergo extended periods of physical therapy to allow for a full recovery and optimize their overall health.

In conclusion, the ICD-10-CM code S02.413A signifies a severe facial fracture known as LeFort III fracture. Prompt diagnosis and treatment are crucial to prevent long-term complications and promote a full recovery. Patients who suffer from this injury must receive appropriate care from experienced medical professionals to ensure the best possible outcome.